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17 Million U.S. Youth Eligible for GLP-1 Therapies Face Coverage and Care Barriers

Experts call for broader Medicaid formularies to close access gaps for eligible youth.

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Overview

  • A JAMA Pediatrics analysis found nearly 17 million U.S. adolescents and young adults meet FDA criteria for GLP-1 receptor agonist treatment for obesity or type 2 diabetes.
  • One in five eligible young adults lack insurance and nearly one-third report no regular healthcare provider, obstructing treatment of cardio-kidney-metabolic conditions.
  • Medicaid insures about 40% of eligible adolescents but only a fraction of state programs cover GLP-1 medications for obesity.
  • Among eligible young adults, 49% have private insurance while 19.4% remain uninsured, compared with 7.2% of adolescents without coverage.
  • Researchers recommend state Medicaid reforms to expand formularies and reach millions of youth as obesity, dyslipidemia, hypertension and prediabetes rates climb.